OrganizationActive
Jae Kim, MD PLC
NPI 1306308382 · Facial Plastic Surgery Physician · Fairfax, VA
Provider details
- NPI number
- 1306308382
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jae Kim, Authorized Member(347) 551-1113
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10721 Main St Ste 205
Fairfax, VA 22030-6902
Phone: (703) 705-2100
Fax: (703) 935-0330
Street-level locationGet directions
Mailing address
2200 Wilson Blvd Ste 102-219
Arlington, VA 22201-3397
Other names (DBA / former)
- Doing business as
- Jae Kim, MD Facial Plastic Surgery
Registry dates
- Enumerated
- 2019-04-01
- Last updated
- 2019-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.